Organization Active NPI

Sure Mind Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1578418976
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SURE MIND HEALTH LLC
Practice address
4265 Bright Bay Way
Ellicott City, MD 21042-5939
Phone
(757) 781-9991
Fax
(443) 212-9417
NPI assigned
Mar 2, 2026
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Olorunkemi Ajoke Feyisola, NPNPI 1497645758
Title
Pmhnp
Phone
(757) 781-9991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4265 Bright Bay Way
Ellicott City, MD 21042-5939

Mailing address

4265 Bright Bay Way
Ellicott City, MD 21042-5939
Phone (757) 781-9991

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1578418976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 BRIGHT BAY WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425939",
            "telephone_number": "757-781-9991",
            "fax_number": "443-212-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 BRIGHT BAY WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425939",
            "telephone_number": "757-781-9991",
            "fax_number": "443-212-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE MIND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "FEYISOLA",
        "authorized_official_first_name": "OLORUNKEMI",
        "authorized_official_middle_name": "AJOKE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "757-781-9991",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.